ok.. what do you think.. seem I get better and honest comment from you then the other sight.. esp when they own there own business doing resumes... Dominic Volpe 24 Cottage Street #3 Norwood, MA 02062 dominic_volpe@yahoo Professional Summary Medical Billing Specialist with 17years experience in a fast-paced, multiple client medical billing company. Researched and denied claims and submitted appeals. Familiar with health billing and collections. Professional Experience Skills History Familiar with commercial and private insurance carriers, Knowledge of HMOs, Medicare, Internal medicine billing. Insurance and collections procedures, Billing and collection procedures, Understands insurance benefits, HIPAA compliance, Medical billing software Composed professional demeanor, Excellent problem solver, Team player with positive attitude Strong attention to detail, Maintains strict confidentiality, Excellent verbal communication, Good written communication, Exercises good judgment, Customer service, Flexible, Multi-tasking, Deadline-driven Experience Massachusetts General Physicians Organization 12/2007-04/2011 Self Pay Collection 1 Charlestown, MA •Managing 3rd party medical claims through Government Agencies and major Insurance companies •Managing outstanding Accounts Receivable consisting of approximate 11M •Working directly with patient and Physician office to resolve medical claim or billing issues •Customer Service Working directly with patient and medical insurance to resolve medical coverage •Report directly with NCO and Gragil Associates to close or to follow up on patient collection complaints regarding medical claim or insurance update •Check Eligibility Of Benefit and update registration •Assist Patient with Financial Aid, Follow up with application on Eligibility status. •Weekly management meeting dealing with processing claim and special projects •Process patient payment through electronic payment system Faulkner Hospital 12/2005-11/2007 Commercial Insurance Biller Boston , MA •Submitting medical claims for Inpatient/Outpatient patient services to both Government Agency and Commercial Insurance •Reporting weekly on outstanding claims and credit accounts •Managing weekly refund report on Insurance and patient accounts •Auditing Eligibility of Benefits to see if payment and contractual adjustment were posted correctly •Managing and appealing medical claims that denied by medical insurance New London Hospital 02/2003-08/2005 Blue Cross / Skill Nursing Facility Biller New London, NH •Submission of Inpatient/Outpatient Hospital claims to Government Agency and Blue Cross •Researching and reconciliation of outstanding claims •Managing Edit and Tracking of Electronic medical claims submission •Perform and gather all bills for Skilled Nursing Facilities for Medicare •Auditing Eligibility of Benefits to verify payment and adjustments were posted correctly •Managing and appealing medical claims that denied by medical insurance Catholic Medical Center 12/2001-11/2002 thru Account Temps Third Party Follow Representative Manchester, NH •Submission on Out/In patient medical claim to all contract and non contracted insurance. •Managing weekly follow up report of outstand medical claims. •Managing weekly refund report of medical insurance and patient medical accounts Auditing Eligibility Of Benefits for payment and adjustment posting Brigham and Woman Hospital 09/2001-12/2001 thru Account Temps Project Assistant Boston, MA •Managing project of resubmitting medical claims during system change. •Review and Appeal medical claims that got denied threw medical insurance including back up information that is being request
Posted on: Thu, 07 Nov 2013 21:19:40 +0000
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